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AAP Handouts
AAP Handouts 2
ADHD Meds (REACH)
Anemia Screen for ABO/RH Incompatibility
Ankle X-ray (Ottawa Ankle Rule)
Asthma Guidelines 2020
Autism Eval & Management
Bariatric Surgery Guidelines
Bilitool.org
Bilirubin Nomogram
Blood Pressure Calculator
Blood Pressure Guidelines
Breast Milk Fortify (Minnesota)
CDC Travel Health
CHOP Clinical Guidelines
CMV Page
Constipation Cleanout
Constipation Rome Criterion
Constipation < 1 yrs
Constipation > 1 yrs
COVID Return to play
CPS Online Reporting
Downs Syndrome Care Checklist
Fluoride Dosing
GERD Algorithm
Epipen Weight
Formula - Concentrating Preterm
Formula - Concentrating Term
Head Trauma Imaging
Head Trauma Minor
High Calorie Foods
Labial Adhesion - Prepubertal
Lipid Panel Guidelines
Malaria Prophylaxis
MCHAT followup
NBS VA info
NBS Hemoglobinopathy Guide
Nirsemivab Toolkit
Nursing Well Check List
OM - SNAP RX Guidelines
Parenting Information
PHQ-9 Scoring
PSC-17 Scoring
Spot Vision Chart
SBIRT Scoring Sheet
TB & Lead Questions
Thyroid Algorithm
Vanderbilt Scoring Sheet
Well Check Table
CDC Vaccine Schedule
VA Vaccine Requirements for School
CDC COVID 19 Vaccination Schedule
AAP COVID 19 Vaccination Schedule - updated 9-2023
AAP COVID 19 Vaccine Coding
Depression Medication List
FPA Controlled Substance Agree
FPA Tip Sheet ADHD Mental Health
Side Effects SSRI
Side Effects Stimulants
VMAP (VA Mental Health Access Program)
Synagis Calculator
Weight Converter
Weight Loss Calculator
Benadryl Dosing Chart
Iron Deficiency Dosing Chart
Strep Treatment
Tamiflu Dosing
Tylenol & Motrin Dosing Chart
Initial - Red Flag Screening
Initial - Acute Concussion Evaluation (ACE)
Initial - ACE Care Plan

Follow Up - Post-Concussion Symptom Inventory (PCSI-C) - Assess Form Ages 5-12
Follow Up - Post-Concussion Symptom Inventory (PCSI-C) - Assess Form Ages 13-18
Follow Up - Post-Concussion Symptom Inventory (PCSI-P) Parent Report Form
Follow Up - Department of Education Medical Clearance for Suspected Head Injury

General - Primary Care Clinical Pathway for Concussions
General - Concussion Algorithm for Specialty Referral
General - Criteria for Final Medical Clearance
General - Discharge Concussion Education for Pediatric Patients (CDC)

Return to School - Post-Concussion Return to School Letter
Return to School - STAMP Return to School Accommodations
Return to School - ACE Gradual Return to School Stages
Return to School - Return to School Guide after Sports Concussions by Dr. Gioia

2024 Dr Gioia Concussion Talk Resources

Subsymptom Threshold Physical Activity Program Complete 2023
OnTRACK Video Substudy Flyer IRBv2
Gioia-Return to School Chpt in Gagnon&Ptito Sports Concussions Complete Guide 2017
ACE Care Planv5 General 2023
8 Great Questions of Concussion Management Gioia Fairfax 1-9-2024
VA AAP COVID-19 Resource Page
VA AAP COVID-19 Patient Handouts
VA AAP COVID-19 Return to School Resource
VA AAP Return to Sports after COVID-19
VDH Coronavirus Page
Cheat Sheet
Superbill
Coding Vaccine
Prenatal Zoom

Fairfax County Forms

  • Fairfax County School
  • Fairfax County High School Sport
  • Fairfax County Middle School Sport
  • Fairfax County Asthma Plan
  • Fairfax County Asthma Plan Auth
  • Fairfax County Epinephrine
  • Fairfax County Medicine Authorization

Loudoun County Forms

  • Loudoun County School
  • Loudoun County Sport
  • Loudoun County Tuberculosis Screening
  • Loudoun County Medicine Authorization
  • Loudoun County Allergy Action

Clinical Forms

  • Family Social History
  • School Work Note
  • Orthostatic Blood Pressure
  • Asthma Control Test

Mental Health Forms

  • SCARED - Child
  • SCARED - Parent
  • SCARED - Scoring Sheet
  • PHQ 9
  • PSC 17
  • CRAFFT
  • EPDS
  • MCHAT REVISED

ADHD Forms

  • Vanderbilt Teacher Assessment
  • Vanderbilt Parent Assessment
  • Vanderbilt Teacher Follow Up
  • Vanderbilt Parent Follow Up

Concussion Forms

  • ACE (Acute Concussion Eval) Form
  • ACE (Acute Concussion Eval) Care Plan

Waivers

  • Adult Flu Waiver
  • COVID Vaccine Waiver
  • Flu Waiver
  • Vaccine Waiver
  • Vision and Hearing Waiver
  • Informed Consent
  • Consent to Treat
  • Medical Records - Emancipated Minors
  • Medical Record Transfer In
  • Medical Record Transfer Out
  • Medical Record Transfer Out
  • Consent to share (18+ Form)

Camp Forms

  • Boys Scouts Camp Form

WIC Form

  • WIC Special Formula Request Form

Vaccine Refusal

  • AAP Vaccine Refusal Form